Exhibit O
Subscriber Counts/Location, Prior Claims History and Utilization Facts

The following pages contain history of claims, subscriber and member counts, information about where State members are located, and general, selected utilization information.
  1. Overall claims paid from 10/1/02 through 9/30/04. While claims are provided to vendors in the manner, the vendor who is awarded the contract must report such information to the State monthly in the categories of:
  2. Overall contracts from 10/1/02 through 9/30/04. The successful vendor will be required to report this data to the State in the same divisions as claims.

  3. Overall members from 10/1/02 through 9/30/04. The successful vendor will be required to report this data to the State in the same divisions as claims.

  4. State members by county in Wisconsin (Separate tabs for 2, 12 month periods.)

  5. State members by state outside of Wisconsin

  6. State members by zip code

  7. Utilization Data:
    1. State of Wisconsin Medicare and Non-Medicare PAYMENT SUMMARY Incurred 1/1/03 through 12/31/03. This document includes all State of Wisconsin members, employees and annuitants. It does not include Local members.

    2. State of Wisconsin - Employees TOTAL PAYMENTS BY DISEASE CATEGORY. For the period 1/1/03 through 12/31/03, for State of Wisconsin non-Medicare members. It includes early retirees under 65. It does not include major medical services. It does not include Local members.

    3. State of Wisconsin - Employees SUMMARY OF MOST FREQUENTLY UTILIZED INPATIENT FACILITIES. For the period 1/1/03 through 12/31/03, for State of Wisconsin non-Medicare members. It includes early retirees under 65. It does not include Local members.

    4. State of Wisconsin - Public Employees Medicare and Non-Medicare PAYMENT SUMMARY Incurred 1/1/03 through 12/31/03. This document includes all Local members, employees and annuitants. It does not include State members.

    5. State of Wisconsin - Public Employees TOTAL PAYMENTS BY DISEASE CATEGORY. For the period 1/1/03 through 12/31/03, for Local non-Medicare members. It includes early retirees under 65. It does not include major medical services. It does not include State members.

    6. State of Wisconsin - Public Employees SUMMARY OF MOST FREQUENTLY UTILIZED INPATIENT FACILITIES. For the period 1/1/03 through 12/31/03, for Local non-Medicare members. It includes early retirees under 65. It does not include State members.

    7. State of Wisconsin PAYMENT SUMMARY Incurred 1/1/04 through 5/31/04. This document includes all State of Wisconsin members, employees and annuitants. It does not include Local members.

    8. State of Wisconsin -TOTAL PAYMENTS BY DISEASE CATEGORY. For the period 1/1/04 through 5/31/04, for State of Wisconsin non-Medicare members. It includes early retirees under 65. It does not include major medical services. It does not include Local members.

    9. State of Wisconsin - Employees SUMMARY OF MOST FREQUENTLY UTILIZED INPATIENT FACILITIES. For the period 1/1/04 through 5/31/04, for State of Wisconsin non-Medicare members. It includes early retirees under 65. It does not include Local members.

  8. Out of State subscribers by zip code. Also lists out-of-country subscribers.

  9. Census for group relevant to RFP. This includes LAHP subscribers.

  10. LAHP Experience.

  11. Local Experience for Stop Loss